IPAC Lapse Disclosure

Summary

The Halton Region Health Department inspects facilities to make sure they follow appropriate infection control practices. Below is a list of locations that have violated infection control guidelines, causing a risk to public health.

More information about IPAC Lapse Disclosure

This website contains reports on premises where an infection prevention and control lapse was identified through the assessment of a complaint or referral, or through communicable disease surveillance. It does not include reports of premises which were investigated following a complaint or referral where no infection prevention and control lapse was ultimately identified.

These reports are not exhaustive, and do not guarantee that those premises listed and not listed are free of infection prevention and control lapses. Identification of lapses is based on assessment and investigation of a premises at a point-in-time, and these assessments and investigations are triggered when potential infection prevention and control lapses are brought to the attention of the local medical officer of health.

Reports are posted on the website of the board of health in which the premises is located. Reports are posted on a premises-by-premises basis, i.e., will correspond with one site only. Should you wish to view a full investigation report for any posted lapse, please contact 311 and ask for the CD Reporting Line.

List of locations that have violated infection control guidelines

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Establishments that have violated infection control guidelines

Name of
Establishment

Address of
Establishment

IPAC Lapse Summary

Date of Lapse

Report PDF

Royal Chair Hair Salon

3006 Preserve Drive, Oakville, ON, L6M 0T9

Issues relating to the cleaning and disinfection of reusable items, improper decanting of products as well as improper maintenance of disinfectant.

Failure to reprocess (clean, disinfect, sterilize and store) equipment and devices used in patient care services. Failure to follow the standards set by the Provincial Infectious Diseases Advisory Committee (PIDAC) as outlined in
"Infection Prevention and Control for Clinical Office Practice" and the Canadian Standards for "Medical Device Reprocessing".

Issues relating to reusable instruments not being in good repair and not being stored in a sanitary manner. Issues relating to the re-use of single-use disposable items; product being dispensed in a manner that contaminates the remaining portion; disinfectant for non-critical instruments not being maintained properly.

Issues relating to the unsanitary conditions for storing reusable and single-use disposable items. Issues relating to reusable instruments not being in good repair. Issues relating to the re-use of single-use disposable items. Not maintaining records of accidental exposures to blood or body fluids to client or operator.

Issues relating to the sanitary conditions for storing reusable and single-use disposable items; reuse of single-use disposable items; Maintenance and use of an appropriate disinfectant for semi-critical instruments

Lacking alcohol based hand rub or dedicated hand washing sink in the reprocessing area. Incomplete PPE at point of use. Multi dose Alcaine solution (eye drops) not labelled with the date of opening. Opened xylocaine multi dose vial not discarded according to the instructions in the product monograph. Incomplete logs for new sterilization unit.

Failure to reprocess (clean, disinfect, sterilize and store) equipment and devices used in patient care services. Failure to follow the standards set by the Provincial Infectious Diseases Advisory Committee (PIDAC) as outlined in Infection Prevention and Control for Clinical Office Practice” and the Canadian Standards for “Medical Device Reprocessing”.

Reusable instruments were not stored in sanitary condition and were not in good repair. Reusable metal instruments were not cleaned and disinfected properly after each client. Single-use disposable items were observed to be reused. Intermediate level disinfectant was contaminated with debris. Adverse water sample results from two foot baths.

Issues related to furnishing, general cleanliness of environmental surfaces and sanitary facilities, peeled paint on a wall. Issues related to handling of single use vials, skin antiseptics, hand hygiene and eating in patient service rooms.

Issues relating to the storage and sanitary condition of reusable equipment, cleaning and disinfecting procedures of reusable equipment, use of disinfectants, record maintenance of sterile single-use disposable items, client aftercare instructions and types of bandages used.

Reprocessing of medical equipment is not physically separated from
patient care area. No dedicated hand washing sink in the
reprocessing area. Medication is stored in a cabinet in the
reprocessing room. Multi dose vials not dated at the first use.
Monitoring of the sterilization process is lacking physical and
chemical parameters.

Issues relating to the sanitary condition of work stations, single-use disposable items being reused, sanitary conditions for storing reusable and single use-disposable items, cleaning and disinfecting procedures of reusable instruments, sanitary maintenance of semi-critical disinfectants, and record keeping

Issues relating to single-use disposable items, which were being
reused on clients and stored in an unsanitary manner, Inappropriate
contact times for disinfectants used on semi-critical instruments,
and cleaning and disinfecting procedures of reusable
equipment/instruments.